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Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients.
Mauro, C; Shear, M K; Reynolds, C F; Simon, N M; Zisook, S; Skritskaya, N; Wang, Y; Lebowitz, B; Duan, N; First, M B; Ghesquiere, A; Gribbin, C; Glickman, K.
Afiliación
  • Mauro C; Department of Biostatistics,Mailman School of Public Health,Columbia University,New York, NY,USA.
  • Shear MK; Columbia University School of Social Work,New York, NY, USA.
  • Reynolds CF; Department of Psychiatry,University of Pittsburgh School of Medicine,Pittsburgh, PA,USA.
  • Simon NM; Center for Anxiety and Traumatic Stress Disorders,Massachusetts General Hospital,Boston, MA,USA.
  • Zisook S; Department of Psychiatry,University of California,San Diego,La Jolla, CA,USA.
  • Skritskaya N; Columbia University School of Social Work,New York, NY, USA.
  • Wang Y; Department of Biostatistics,Mailman School of Public Health,Columbia University,New York, NY,USA.
  • Lebowitz B; Department of Psychiatry,University of California,San Diego,La Jolla, CA,USA.
  • Duan N; Division of Biostatistics,Department of Psychiatry,Columbia University,New York, NY,USA.
  • First MB; Department of Psychiatry,Columbia University,College of Physicians and Surgeons,New York State Psychiatric Institute and New York Presbyterian Hospital,New York, NY,USA.
  • Ghesquiere A; Brookdale Center for Healthy Aging,Hunter College,New York, NY,USA.
  • Gribbin C; Columbia University School of Social Work,New York, NY, USA.
  • Glickman K; Department of Social Work,York College/CUNY,Jamaica, NY,USA.
Psychol Med ; 47(4): 608-615, 2017 Mar.
Article en En | MEDLINE | ID: mdl-27821201
BACKGROUND: Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research. METHOD: Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored <20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria. RESULTS: PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2-75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4-65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8-100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group. CONCLUSIONS: Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escalas de Valoración Psiquiátrica / Aflicción / Guías de Práctica Clínica como Asunto / Manual Diagnóstico y Estadístico de los Trastornos Mentales / Trauma Psicológico Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychol Med Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Escalas de Valoración Psiquiátrica / Aflicción / Guías de Práctica Clínica como Asunto / Manual Diagnóstico y Estadístico de los Trastornos Mentales / Trauma Psicológico Tipo de estudio: Clinical_trials / Diagnostic_studies / Guideline / Prognostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychol Med Año: 2017 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido